Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $26.47 / $47.26	Facility		$23.63	$26.47	$47.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $23.65 / $23.65	Professional		$23.64	$23.65	$23.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $42.57 / $107.29	Facility		$28.19	$42.57	$107.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.65 / $23.65	Professional		$23.63	$23.65	$23.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $23.65 / $23.65	Facility		$22.31	$23.65	$23.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $38.40 / $73.00	Professional		$24.81	$38.40	$73.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $22.77 / $28.98	Professional		$20.70	$22.77	$28.98